Psychiatrist Services and Regional Psychiatrist Lead

An advanced contract award notice (ACAN) is a public notice indicating to the supplier community that a department or agency intends to award a contract for goods, services or construction to a pre-identified supplier, thereby allowing other suppliers to signal their interest in bidding, by submitting a statement of capabilities. If no supplier submits a statement of capabilities that meets the requirements set out in the ACAN, on or before the closing date and time stated in the ACAN, the contracting officer may then proceed with the award to the pre-identified supplier.

(A) Psychiatrist Services

1. Definition of the requirement:
The Correctional Service of Canada (CSC) Health Services has a requirement to provide mental health services to offenders in Federal Institutions in accordance with professionally accepted standards (Corrections and Conditional Release Act, Section 86). The contractor must provide in person psychiatric care services to offenders on site as well as collaborate with the inter-disciplinary health services team that includes but is not limited to: nurses (nurse practitioners, registered nurses, registered psychiatric nurses, licensed practical nurses, registered practical nurses), primary care physicians, social workers, dentists, denturists, infectious disease physician specialist, pharmacists, pharmacy technicians, psychologists, psychiatrists, behavioural science technicians, mental health providers, psych educators, personal support workers, client care attendants, optometrist, physiotherapists, x-ray technologists, foot care specialists, occupational therapists, administrative personnel and other healthcare professionals.

1.1. Objectives:
To provide psychiatric care services to offenders and collaborate with the inter-disciplinary health services team.

The contractor must provide psychiatrists who:
a) provide in-person psychiatric services to offenders on site at CSC Institutions and Community Correctional Centres within in the Ontario Region as listed in 1.4.5 Location of work; and
b) actively participate in the coordination of high quality clinically supervised psychiatric care.

1.2. Tasks and deliverables:
1.2.1. The Contractor must provide Psychiatrists to deliver in-person mental health services to offenders with serious mental illness, as requested by the Project Authority, in accordance with the CSC National Essential Health Services Framework including any amendment to this Framework issued by CSC during the contract period.

These services include, but are not limited to the following:

a) Assess and treat individual offenders;
b) Conduct psychiatric examinations and provide treatment to individual offenders including certified patients;
c) Liaise with health care, case management and correctional program personnel and participate in interdisciplinary team meetings;
d) provide advice and recommendations to CSC staff regarding psychiatric care;
e) Participate in discharge and release planning as requested including assisting in the transfer of certified patients at time of release;
f) Develop care plans and discharge summaries in accordance with mental health service delivery guidelines;
g) Provide consultation to other health care providers to ensure continuity of care. This includes providing consultation to community mental health service providers and the prescribing physician if the offender is residing in the community;
h) Attend consent and capacity hearings as required by the Ministry of Health;
i) Prepare Community Treatment Orders in compliance with Ministry of Health guidelines;
j) Maintain appropriate medical records;
k) Maintain a quality of care that meets professionally accepted standards;
l) Conduct psychiatric assessments for third parties, such as the Parole Board of Canada, upon request;
m) Provide consultation and advice on mental health services to the mental health team, or institutional management, or both as requested;
n) Participate in meetings including the Regional Medical Advisory Committee, case conferences, and other related activities as requested;
o) Participate in orientation to CSC;
p) Comply with relevant legislation and CSC policies and guidelines;
q) Undertake administrative activities and participate in regional and national meetings as appropriate;
r) Provide on-call services outside of the service hours provisioned (as per section 1.4.3), 24 hours per day, 7 days per week, during the contract period at the request of the Project Authority or their delegate;
s) Provide in-service training at a minimum of one (1) day per year and other educational sessions as requested;
t) Participate in the evaluation of the efficiency, quality and delivery of services, including, but not limited to, participation in medical audits, peer and interdisciplinary reviews, chart reviews and incident report reviews as well as the Accreditation process;
u) Provide consultation services for the resolution of CSC internal offender grievance and investigative processes as requested; and
v) Provide Telepsychiatry sessions (psychiatric services by videoconference) to offenders as requested and approved by the Project Authority.

1.2.2. The Contractor must provide care in accordance with the requirements set out in the Medical Practitioner By-Laws, under Duties Section in the Medical Practitioner Active Category, including any amendment to these By-Laws issued by CSC during the contract period.

1.2.3. Psychiatric Assessment Services:
a) The Contractor must conduct in person assessments and submit assessment reports for sharing with third parties. This includes the Parole Board of Canada as requested by the Project Authority.
b) The focus of the reports must be evaluation of risks associated with the offender’s mental health profile including the means to manage identified risks.
c) The reports must include the following as a minimum:
i. Case formulation addressing criminogenic / risk relevant information associated with mental health profile and
interview impressions;
ii. Clinical opinion; and,
iii. Recommendations (treatment focused on risk management).

d) The Contractor must prepare and submit assessment reports within 10 days of the interview or at the date agreed upon with the Project Authority or their delegate.

e) The Contractor must submit all assessment reports in a typewritten format. Assessment reports must not normally exceed five pages in length.

f) The Contractor must explain to inmates the limits to confidentiality and obligations of the Contractor to CSC prior to providing any services and ensure that all reports are shareable with the inmate.

1.2.4. The Contractor must visit incarcerated offenders in designated areas of the institution (including, but not limited to the Structured Intervention Unit, Health Care Unit, living unit for older persons, Intake and Assessment Unit) as requested by the Project Authority or delegate. The Contractor may independently request to assess an inmate in any condition of confinement.

1.2.5. Recommendations for non-formulary medication and Special Authorization items applicable to incarcerated offenders, only:

a) The Contractor must:
i. Prescribe, administer and monitor medications according to the CSC National Drug Formulary;
ii. Request non-formulary medications in accordance with CSC’s National Drug Formulary; and
iii. Request Special Authorization items in accordance with CSC’s Essential Health Services Framework.

1.2.6. On-Call: In addition to the locations listed in Section 1.4.5 of this ACAN, the Contractor must respond to requests from other locations, including but not limited to those indicated below for the performance of the work while on-call under this contract:

Beaver Creek Institution (Med)
2000 Beaver Creek Dr., P.O Box 5000
Gravenhurst, Ontario, P1P 1Y2

Beaver Creek Institution (Min)
2000 Beaver Creek Dr., P.O Box 1240
Gravenhurst, Ontario, P1P 1W9

Grand Valley Institution for Women
1575 Homer Watson Blvd.
Kitchener, Ontario, N2P 2C5

1.2.7. One (1) psychiatrist must travel to Warkworth Institution every two (2) weeks to provide in-person psychiatric care.

Warkworth Institution
15847 County Rd. 29, P.O Box 760
Campbellford, Ontario K0L 1L0

1.2.8. The Contractor must participate in an annual Medical Practitioner Quality Improvement Review with the respective Regional Psychiatrist Lead as laid out in the Medical Practitioner By-Laws.

1.2.9. The contractor must provide telephone Consultation Services for General Practitioners. On a monthly basis, the Contractor must provide a list of the names of the general practitioners who requested a telephone consultation as well as the date of the call.

1.2.10. At any time, the Project Authority, through the Regional Psychiatrist Lead, may request that the Contractor report data on psychiatric services provided to inmates. This may include the use of reporting templates as provided by the Project Authority.

1.2.11. At the request of the Project Authority, through the Regional Psychiatrist Lead, the Contractor must produce or contribute to regional reporting.

1.2.12. As part of CSC’s accountability with respect to the delivery of health services, the Project Authority may request, through the Regional Psychiatrist Lead, that the Contractor provide input into reports on health care delivery, including but not limited to mental health services.

1.2.13. Grievance, Investigation Processes, Human Rights Complaints and Court Proceedings

a) The Contractor must participate in various CSC internal offender grievance/investigation/human rights complaints processes, or court proceedings that may include a review of the Contractor's documentation on the Health Care Records. Upon request from the Project Authority, the Contractor must participate in interviews as a result of an offender grievance/investigation process.

b) At the request of the Project Authority, the Contractor must participate in provincial review boards and panels as well as CSC Boards of Investigation.

1.2.14. Services related to the provision of Health Services in CSC:

a) At the request of the Project Authority, the Contractor must participate as requested as a member of a Professional Advisory Committee, participate in credentialing, and review professional practice issues.

b) The psychiatrist must assume the role of Most Responsible Provider (MRP) as required in reference to section 1.4.4.

1.3. Expected results:
The Contractor must coordinate care with multi-disciplinary teams to:

a) Provide efficient and effective psychiatric services to offenders with serious mental illness that encourage individual responsibility, promote healthy reintegration, and contribute to safe communities;
b) Provide Mental health services that respect gender, cultural, religious and linguistic differences, and are responsive to the special needs of women, Indigenous peoples, and other groups;
c) Ensure the essential mental health care services meet the needs of the offender population;
d) Effectively and timely intervene in addressing mental health needs of offenders; and,
e) Provide offenders with a variety of mental health interventions, including assessments and treatment based on an assessment of the individual offender's needs.

1.4. Performance standards:

a) Recognizing the high lifetime prevalence of trauma among incarcerated persons, care should be provided in ways that recognize needs for physical and emotional safety, as well as choice and control in decisions affecting the inmate’s treatment.
b) Along with recognizing the gender, cultural, religious and linguistic differences of Offenders, the Contractor must particularly take into consideration the historical context of the lives of Canada’s Indigenous peoples and be sensitive to the impacts of intergenerational trauma and the physical, mental, emotional and social harms experienced by Indigenous people.
c) The Contractor must provide services in accordance with the ethical and professional practice standards of the applicable college of Physicians and Surgeons.
d) The Contractor must provide all services respecting federal and provincial legislation and standards, provincial and national and CSC Policies and Guidelines related to the provision of mental health and physical healthcare.
e) The Contractor must provide care in accordance with CSC’s National Medical Advisory Committee and Medical Practitioner By-Laws governing Physicians, Dentists and Nurse Practitioners who provide Medical Care to Patients.
f) The relevant legislation and CSC Policies and /Guidelines on medical care are available on CSC’s intranet website referred to as “the HUB” and the Commissioner’s Directives are available on CSC’s website at www.CSC-SCC.GC.ca. The Contractor may request hard copies of relevant policies, guidelines and standards from the Project Authority. The Project Authority will forward all new relevant policies and guidelines to the Contractor via their CSC email account.

1.4.1. Documentation in CSC Electronic Health Care Records:

a) In addition to the above noted policies, guidelines and standards, the Contractor must document all information relevant to the mental health services provided in the offenders' Electronic Health Care Records in compliance with relevant legislation, professional standards of practice and CSC's Documentation for Health Services Professionals guidelines and their Provincial Regulatory College. The Contractor must ensure that documentation is sufficient to communicate to other health care professionals the status of the patient (including special circumstances and requirements) and the next steps in treatment and follow-up.
b) As a quality improvement measure, and as part of the Medical Practitioner Quality Improvement Review, the Contractor's documentation will be reviewed for quality, consistency, and completeness.
c) The Project Authority will provide an encrypted laptop to the Contractor for documentation in CSC’s Electronic Health Care Records. The Project Authority will obtain all necessary CSC internal approvals and must comply with requirements for taking CSC assets off site. The Project Authority will also ensure the Contractor is aware of all CSC requirements regarding care and protection of CSC assets and IT security requirements including those associated with the use of Portable Data Storage Devices (encrypted laptops).
d) The Contractor must obtain prior approval, in writing, from the Project Authority before collecting any data on inmates. The Contractor must specify what data would be collected and for what purpose.
e) The Project Authority will provide a Government of Canada (GC) email address to the Contractor. The Contractor must comply with Identification Protocol Responsibilities specified in the contract. The Contractor must regularly monitor this GC email address on an ongoing basis and read email correspondence. The Contractor must communicate all matters that relate to offenders using this secure email address only.

1.4.2. The Contractor must provide services to offenders in person on site at CSC Institutions and Community Correctional Centres within the Kingston Census Metropolitan Area.

1.4.3. Hours of Service Provision/Timely Access to Care:

a) The Project Authority, in collaboration with the Contractor, will establish the clinic hours at the start of the contract, subject to institutional requirements. The contractor must provide clinical care (direct and indirect) to inmates during institutional clinics according to the contracts Basis of Payment.

b) The Project Authority will allocate hours towards the Contractor’s participation in quality improvement activities (including, but not limited to policy and guideline development, providing educational sessions to CSC staff, meetings with lead primary care physician and psychiatrist, advising CSC on models of service delivery). The Project Authority will not use the hours set aside for clinical care for the Contractor to participate in quality improvement activities. Time spent on these activities must not exceed the number of hours indicated in the contracts Basis of Payment, on an annual basis.

c) In institutional settings, in case of a lockdown, subject to safety and security approval, the Project Authority may ask that the Contractor see patients on a cell range or elsewhere in the institution.

d) In the event the Project Authority needs to delay or cancel a clinic or in the event of a lockdown (where the Contractor does not have any means to access patients elsewhere in the institution), and subject to the prior approval of the Project Authority, the Contractor must use the clinic time to complete tasks that include, but are not limited to, Electronic Health Record (EHR) documentation, follow-up on lab/imaging/referral results, providing feedback on guidelines and policies, providing in-service teaching to health services personnel or any other appropriate quality improvement initiative.

e) The Contractor must provide psychiatric assessment and treatment as soon as possible upon receipt of an offender referral. Services are prioritized by the project authority, with input from the psychiatrist, based on urgency of the referral, level of need, risk, responsivity, release dates and requirements in policy. The Contractor will have access to CSC’s Integrated Mental Health Guidelines as a resource.

f) For any absence of five (5) days or less, the Contractor must give at least 24 hours notice when they will be unable to attend a clinic. The Project Authority may, at their sole discretion, reschedule the clinic or cancel it altogether.

g) If the Contractor must cancel a clinic or the resource must be absent for a prolonged period of time, the Contractor must provide the name of the replacement resource, which was evaluated by the Contractor and meets the same criteria used in the selection of the original resource, to the Regional Psychiatrist Lead.

h) The Contractor must collaborate with the Project Authority, the Health Services Team and Correctional Staff to promote multidisciplinary teamwork and ensure safe, effective and efficient operation of clinics to attain quality standards and goals as agreed to at the National Medical Advisory Committee (NMAC).

i) The Project Authority, in collaboration with the Contractor, may adjust the clinic schedule and number of hours per week during the contract.

j) The Project Authority will notify the Contractor of any planned changes to clinic schedules a minimum of three months prior to the implementation of the changes. The clinic schedule changes may be implemented sooner by mutual agreement.

k) The Contractor’s resources must provide telephone psychiatric services to all sites within the Ontario Region during their weekly hours of service regardless of their on-site service location.

1.4.4. CSC Health Services has adopted the Person Health Care Home (“Patient’s Medical Home” as defined by the College of Family Physicians of Canada) as its model of care. The mandate of the Person Health Care Home is the provision of primary care that is integrated, comprehensive, includes the patient’s voice, goals and perspective and is coordinated by an interdisciplinary health care team. The structural components of the PHCH includes collaboration between and among interdisciplinary care providers defined as the Most Responsible Team (MRT) - The Most Responsible Team (MRT) includes the expertise of a broad range of highly skilled interdisciplinary team members, the team is led by the Most Responsible Provider (MRP) who most often is a prescriber (Primary Care Physician, A Psychiatrist or Nurse Practitioner) who provides evidence-based, comprehensive care to a panel of patients with whom they have a therapeutic relationship. The MRT, as an interdisciplinary team, meets regularly in panel care conferences, to review the needs of the assigned panel population, and develop, review and update integrated care plans.

1.4.5 Location of work:
The Contractor must provide in-person psychiatric care to offenders on-site in the Ontario Region Institutions and Community Correctional Centre(s) listed below.

Reflective of clinical need and in consultation with and approval from the Project Authority the Contractor may provide psychiatric care by telepsychiatry to offenders in the Ontario Region Institutions and Community Correctional Centres.

Bath Institution/ Regional Treatment Centre
5775 Bath Rd., PO Box 1500
Bath, Ontario K0H 1G0

Collins Bay Institution (Max/Med)
1455 Bath Rd., PO Box 190
Kingston, Ontario K7L 4V9

Collins Bay Institution (Min)
1455 Bath Rd., PO Box 5117
Kingston, Ontario K7L 5E6

Henry Traill Community Correctional Centre
1453 Bath Rd., PO Box 190
Kingston, Ontario K7M 4X2

Joyceville Institution (Med)
3766 Hwy 15, PO Box 880
Kingston, Ontario K7L 4X9

Joyceville Institution (Min)
3766 Hwy 15, PO Box 4510
Kingston, Ontario K7L 4X9

Millhaven Institution (Max)/ Including Regional Treatment Centre (RTC)
5775 Bath Rd., Hwy 33, PO Box 280
Bath, Ontario K0H 1G0

Travel

a) Travel is required for performance of the work under this contract upon the request of the Project Authority.
b) All travel must be pre-approved by the Project Authority.

1.4.6 Constraints

1.4.6.1 Working within a correctional institutional environment:

a) While the expectation is that medical practices in CSC institutions are generally consistent with community practice, there may be some differences with respect to practice. CSC policy and guidelines are developed in order to provide direction to health care professions regarding these differences.

b) In accordance with the confidentiality provisions of the contract, the Contractor must not have unauthorized contact with the media with regards to the health services provided to CSC. The Contractor must advise the Project Authority immediately if media have contacted them concerning health services provided to CSC.

c) The Project Authority and Institutional Head must approve, in advance, all equipment including communication devices the Contractor wishes to bring into the Institution.

d) The Contractor will be subject to local security requirements that can vary from moment to moment depending on inmate activities. The Contractor may be faced with delay or refusal of entry to certain areas at certain times although prior arrangements for access may have been made.

2. Criteria for assessment of the statement of capabilities (minimum essential requirements):

Any interested supplier must demonstrate by way of a statement of capabilities that each of the proposed Psychiatrist meets the following requirements:

2.1 Experience and Professional designation, accreditation and/or certification:

2.1.1 Each of the proposed Psychiatrist must:
i. hold a current license in good standing to practise psychiatry from the provincial licensing body for physicians and surgeons in the province where services are to be provided.
ii. have successfully completed speciality training in psychiatry through a program accredited by the Royal College of Physicians and Surgeons of Canada or equivalent (including but not limited to the American Board of Psychiatry and Neurology, Royal Colleges of Physicians of the United Kingdom).
iii. meet the minimum requirements for Maintenance of Competence set by the Royal College of Physicians and Surgeons of Canada
iv. have a minimum of six (6) months experience in providing psychiatric care in the last two (2) years prior to bid closing. CSC will consider time spent providing psychiatric care during residency or fellowship training as work-related experience.

2.1.2 Any interested supplier must demonstrate by way of a statement of capabilities that each of the proposed resources obtain a minimum of 35 points overall for the following technical evaluation criteria. The rating is performed on a scale of 70 points.

Technical Evaluation Criteria

I. The proposed Psychiatrist will be rated on experience in providing psychiatric care (both assessment and treatment) to offenders within a correctional facility or community corrections at the provincial or federal level within the past 10 years prior to bid closing (up to 10 points)

Less than 6 months = 0 points
6 months to 1 year = 2.5 points
more than 1 year to 1.5 year = 5 points
more than 1.5 year to 2 years = 7.5 points
more than 2 years = 10 points

II. Points will be awarded to the proposed Psychiatrist for specialized postgraduate subspeciality training, certification or accredited training in the following clinical *areas (See table A.1) relevant to work within a Correctional Facility. (up to 15 points)

7.5 points will be awarded if the proposed Psychiatrist has completed a subspecialty fellowship or PhD in any of the following clinical areas.

5 points will be awarded if the proposed Psychiatrist has completed a Masters degree in any of the following clinical areas.

1 point will be awarded per 250 hours of documented continuing medical education in the past 5 years prior to ACAN closing date in the following clinical areas. Bidders can provide a transcript of continuing professional development activities from the Royal College of Physicians and Surgeons of Canada to substantiate the continuing medical education claimed.

III. The proposed Psychiatrist will be rated on clinical experience acquired in the past 10 years prior to ACAN closing date in providing psychiatric care related to the following *areas (see table A.1) of psychiatry relevant to offenders (up to 15 points):

1 point will be awarded per year of experience in any of the above areas of psychiatry to a maximum of 3 points per area, up to a total of 15 points.

IV. The proposed Psychiatrist will be rated on projects where they were leading or participating in Quality Initiatives undertaken related to health care in the following areas, within the last 10 years prior to ACAN closing date:

Improving clinic flow
Assessing the impact of a new team model
Setting service standards
Establishing patients’s medical home model

Points will be awarded as follows up to a maximum of 10 points:

5 points will be awarded for leading a QI initiative;

2 points will be awarded for participating in, but not leading, a QI project

V. The proposed Psychiatrist will be rated on projects where they provided education or training in the following *areas (see table A.1) relevant correctional psychiatry and mental health within the last 10 years prior to ACAN closing date (up to 10 points):

1 point will be awarded for every 10 hours of education, supervision or training provided by the proposed Psychiatrist up to a total of 10 points.

VI. The proposed Psychiatrist will be rated on research projects or publications in the following * *areas (see table A.1) relevant to correctional psychiatry and mental health care (excluding research or publications done as a requirement for a course of study) within the last 10 years prior to ACAN closing date, (up to 10 points):

Up to 5 points will be awarded as follows for each area relevant to correctional psychiatry and mental health care up to a total of 10 points

5 points: the proposed Psychiatrist was the principal investigator of research published in a peer reviewed journal.

4 points: the proposed Psychiatrist was the principal investigator of research published in a non-peer reviewed journal;
OR
the proposed Psychiatrist was co-investigator of research published in a peer reviewed journal;
OR
the proposed Psychiatrist was the first author of a non-research related article in a peer reviewed journal.

3 points: the proposed Psychiatrist was co-investigator of research published in a non-peer reviewed journal;
OR
the proposed Psychiatrist was co-author of non-research related article published in a peer reviewed journal.

2 points: the proposed Psychiatrist was co-author of a non-research related article published in a non-peer reviewed journal.

1 point: the proposed Psychiatrist wrote a letter to the editor or book review in a peer reviewed journal.

Table A.1 – Areas of Psychiatry Relevant to Offenders;
Forensic Psychiatry
Addiction Psychiatry
Complex co-morbidities
Concurrent Disorders
Trauma Disorders
Personality Disorders
Dual Disorders
Developmental Disorders
Fetal Alcohol Spectrum Disorder
Neuropsychiatry
Acquired Brain Injury
Suicide Prevention
Consult Liasion Psychiatry (HIV, pallliative care)
Geriatric Psychiatry
Cognitive Disorders
Pain Management
Rehabiltiation Psychiatry
Chronic Care

(B) Regional Psychiatrist Lead

1. Definition of the requirement:
The Correctional Service Canada has a requirement for One (1) Regional Psychiatrist Lead resource to provide oversight and leadership for mental healthcare in the Ontario Region. The lead will work in conjunction with the CSC Regional & National Health Services management team and other healthcare members to advance the mental health services offered to inmates.

1.1. Objectives:
The contractor must provide one (1) Regional Psychiatrist Lead who will:

a) Provide oversight and leadership for their discipline specific medical practice (primary health care or mental health care) within their region.

b) Work in conjunction with the CSC Regional & National Health Services management team and other members of the Healthcare Team to advance the healthcare of inmates.

c) Participate as a member of the National Medical Advisory Committee.

d) Chair the Regional Medical Advisory Committee (RMAC) in accordance with the CSC Medical Practitioner By-Laws.

1.2. Tasks and Deliverables:

1.2.1. The Regional Psychiatrist Lead must:

1.2.2 Review qualifications and training of all proposed discipline specific physicians seeking to become Medical Practitioners (primary care physicians and psychiatrists providing care under contract to CSC patients) including providing support to the evaluation teams assessing physician bids, when requested;

1.2.3 Advance the quality of medical care and treatment provided across their region by:

i. Facilitating Medical Practitioner involvement in quality-of-care reviews and health care reviews in collaboration with the Institutional Manager of Integrated Health Services, Chief of Health Services, and Chief of Institutional Mental Health when requested by the Chief Medical Officer of Health or the National Senior Psychiatrist;
ii. Coordinating concerns and suggestions from Regional Institutional Medical Practitioners and, as needed, dentists and specialists (for example, infectious disease specialists); Engaging their specific Medical Practitioner Discipline Members and, as needed, dentists and specialists (for example, infectious disease specialists) within the region on the goals and priorities of CSC Health Services, and
iii. Seeking input from discipline specific Medical Practitioner Members and, as needed, dentists and specialists (for example, infectious disease specialists) on new and revised CSC policies and procedures, as part of the consultation process and providing this feedback to the National CSC Medical Advisory Committee.

1.2.4 Coordinate discussions with their discipline specific Medical Practitioners within their region on a biannual basis;

1.2.5 Meet with each discipline specific Medical Practitioner Member (in person or via teleconference/videoconference) on an annual basis, or more frequently when needed to resolve time sensitive matters;

1.2.6 Identify issues of regional concern of physicians or psychiatrists that may have national relevance;

1.2.7 Participate as member of the National Medical Advisory Committee;

1.2.8 Participate as requested as a member of the National Pharmacy and Therapeutics Committee and/or National Person Centred Health Care Committee (and associated Intersectoral Complex Case Health Committee), Substance Use Working Group, Health Technology Evaluation Committee and other CSC working groups or committees as needed;

1.2.9 Work collaboratively with the Chief Medical Officer of Health and National Senior Psychiatrist to establish national Medical Practitioner Member initiatives, as appropriate, including chart reviews, health services team consultations, clinical quality of care and education;

1.2.10 Work collaboratively with the Director General, Health Policy and Programs, the National Professional Practice Lead, the Chief Medical Officer of Health and the National Senior Psychiatrist to schedule a Teleconference/Videoconference twice a year with each of CSC’s Regional Health Leadership Teams to discuss Institutional and Regional specific issues.

1.2.11 Develop, if necessary, and maintain effective coordination with the local Public Health Department/Unit through engagement with the Medical Officer of Health (MOH) for the Department/Unit.

1.2.12 Maintain and when necessary, enhance effective collaboration with the local community hospital to facilitate the access to and provision of quality medical care.

1.2.13 Participate in the development, oversight and coordination of Infection Prevention and Control (IPAC) standards within the region’s institutional sites.

1.2.14 Participate in the organizational response to infectious disease outbreaks.

1.2.15 Participate in the Accreditation process and quality improvement initiatives in CSC Health Services.

1.2.16 Fulfill administrative tasks including, but not restricted to, psychiatrist recruitment, liaising with CSC and accountability management.

1.2.17 Support the provision of efficient and effective integrated person-centred care to promote healthy reintegration of inmates at discharge;

1.2.18 Identify healthcare priorities and issues of concern in CSC;

1.2.19 Help ensure CSC healthcare policies, procedures and standards are up-to-date;

1.2.20 Promote collaboration with outside healthcare bodies (including but not limited to public health agencies, Ministry of health, local hospitals).

1.3. Expected results:
The Regional Psychiatrist Lead must provide and actively participate in the coordination of essential mental health services from the contractor to offenders within the Ontario Region to ensure timely access to mental health services.

1.4. Performance standards:
The Contractor must provide services in accordance with the ethical and professional practice standards of the applicable college of Physicians and Surgeons. The Contractor must also comply with clause "2010B 28 No bribe or conflict" of Section 3.2010B - General Conditions - Professional Services (Medium Complexity) - Buyandsell.gc.ca

1.5. Estimated Level of effort:
The level of effort for the Regional Psychiatrist Lead is estimated by the Project Authority and recognizes the size and complexity of the region. The Regional Director, Health Services may adjust this level of effort through the term of the contract depending on CSC’s requirements.

1.6 Constraints
1.6.1 Working within a correctional institutional environment:

a) While the expectation is that medical practices in CSC institutions are generally consistent with community practice, there may be some differences with respect to practice. CSC policy and guidelines are developed in order to provide direction to health care professions regarding these differences.
b) In accordance with the confidentiality provisions of the contract, the Contractor must not have unauthorized contact with the media with regards to the health services provided to CSC. The Contractor must advise the Project Authority immediately if media have contacted them concerning health services provided to CSC.
c) The Project Authority and Institutional Head must approve, in advance, all equipment including communication devices the Contractor wishes to bring into the Institution.
d) The Contractor will be subject to local security requirements that can vary from moment to moment depending on inmate activities. The Contractor may be faced with delay or refusal of entry to certain areas at certain times although prior arrangements for access may have been made.

2. Criteria for assessment of the statement of capabilities (minimum essential requirements):
Any interested supplier must demonstrate by way of a statement of capabilities that the proposed Psychiatry Lead meets the following requirements:

2.1. Experience and Professional designation, accreditation and/or certification:

2.1.1. The proposed Psychiatrist Lead must:
i. Have a minimum of six (6) months experience in providing psychiatric care in the last two (2) years prior to ACAN closing date. CSC will consider time spent providing psychiatric care during residency or fellowship training as work-related experience.
ii. hold a current license in good standing to practise psychiatry from the provincial licensing body for physicians and surgeons in the province where services are to be provided.
iii. have successfully completed speciality training in psychiatry through a program accredited by the Royal College of Physicians and Surgeons of Canada or equivalent (including but not limited to the American Board of Psychiatry and Neurology, Royal Colleges of Physicians of the United Kingdom).
iv. meet the minimum requirements for Maintenance of Competence set by the Royal College of Physicians and Surgeons of Canada.

2.1.2. Any interested supplier must demonstrate by way of a statement of capabilities that the proposed resource obtains a minimum of 40 points overall for the following technical evaluation criteria. The rating is performed on a scale of 80 points.

Technical Evaluation Criteria

2.1.2.1 Experience and Professional designation, accreditation and/or certification.

I. The proposed Psychiatry Lead will be rated on experience in providing psychiatric care (both assessment and treatment) to offenders within a correctional facility or community corrections at the provincial or federal level within the past 10 years prior to ACAN closing date (up to 10 points)
Less than 6 months = 0 points
6 months to 1 year = 2.5 points
more than 1 year to 1.5 year = 5 points
more than 1.5 year to 2 years = 7.5 points
more than 2 years = 10 points

II. Points will be awarded to the proposed Psychiatry Lead for specialized postgraduate subspeciality training, certification or accredited training in the following clinical *areas (see table A.2) relevant to work within a Correctional Facility. (up to 15 points)

7.5 points will be awarded if the proposed Psychiatry Lead has completed a subspecialty fellowship or PhD in any of the following clinical areas.

5 points will be awarded if the proposed Psychiatry Lead has completed a Masters degree in any of the following clinical areas.

1 point will be awarded per 250 hours of documented continuing medical education in the past 5 years prior to ACAN closing date in the following clinical areas. Proposed Psychiatry Lead can provide a transcript of continuing professional development activities from the Royal College of Physicians and Surgeons of Canada to substantiate the continuing medical education claimed.

III. The proposed Psychiatry Lead will be rated on clinical experience acquired in the past 10 years prior to ACAN closing date in providing psychiatric care related to the following *areas ( see table A.2) of psychiatry relevant to offenders (up to 15 points):

1 point will be awarded per year of experience in any of the above areas of psychiatry to a maximum of 3 points per *area (see table A.2), up to a total of 15 points.

IV. The proposed Psychiatry Lead will be rated on projects where they were leading or participating in Quality Initiatives undertaken related to health care in the following areas within the last 10 years prior to ACAN closing date: (up to 10 points)

• Improving clinic flow
• Assessing the impact of a new team model
• Setting service standards
• Establishing patients’ medical home model

Points will be awarded as follows up to a maximum of 10 points:
5 points will be awarded for leading a QI initiative;
2 points will be awarded for participating, but not leading in a QI project

V. The proposed Psychiatry Lead will be rated on projects where they performed practice reviews at a regional health authority, hospital or other applicable health care organization within the last 10 years prior to ACAN closing date (up to 10 points).

5 points will be awarded if the proposed Psychiatry Lead performed a practice review in a specific area of practice for a group of physicians or other regulated healthcare professionals.

2.5 points will be awarded if the proposed Psychiatry Lead performed a practice review in a specific area of practice for individual physicians or other regulated healthcare professionals.

VI. The proposed Psychiatry Lead will be rated on projects where they provided education or training in the following *areas (See table A.2) relevant to correctional psychiatry and mental health within the last 10 years prior to ACAN closing date (up to 10 points):

1 point will be awarded for every 10 hours of education, supervision or training provided by the proposed Psychiatry Lead up to a total of 10 points.

VII. The proposed Psychiatry Lead will be rated on research projects or publications in the following *areas (See table A.2) relevant to correctional psychiatry and mental health care (excluding research or publications done as a requirement for a course of study) within the last 10 years prior to ACAN closing date, (up to 10 points):

Up to 5 points will be awarded as follows for each area relevant to correctional psychiatry and mental health care up to a total of 10 points

5 points: the proposed Psychiatry Lead was the principal investigator of research published in a peer reviewed journal.

4 points: the proposed Psychiatry Lead was the principal investigator of research published in a non-peer reviewed journal;
OR
the proposed Psychiatry Lead was co-investigator of research published in a peer reviewed journal;
OR
the proposed Psychiatry Lead was the first author of a non-research related article in a peer reviewed journal.

3 points: the proposed Psychiatry Lead was co-investigator of research published in a non-peer reviewed journal;
OR
the proposed Psychiatry Lead was co-author of non-research related article published in a peer reviewed journal.

2 points: the proposed Psychiatry Lead was co-author of a non-research related article published in a non-peer reviewed journal.

1 point: the proposed Psychiatry Lead wrote a letter to the editor or book review in a peer reviewed journal.

*Table A.2 – Areas of Psychiatry Relevant to Offenders
Forensic Psychiatry
Addiction Psychiatry
Complex co-morbidities
Concurrent Disorders
Trauma Disorders
Personality Disorders
Dual Disorders
Developmental Disorders
Fetal Alcohol Spectrum Disorder
Neuropsychiatry
Acquired Brain Injury
Suicide Prevention
Consult Liasion Psychiatry (HIV, pallliative care)
Geriatric Psychiatry
Cognitive Disorders
Pain Management
Rehabiltiation Psychiatry
Chronic Care

2 Language of Work:
The contractor must perform all work in English.

3 Security Requirements:
This contract includes the following security requirements:

SECURITY REQUIREMENT FOR CANADIAN SUPPLIER:
PWGSC FILE No. 21120-24-4556464

I. The Contractor must, at all times during the performance of the Contract, hold a valid Designated Organization Screening (DOS), issued by the Contract Security Program (CSP), Public Works and Government Services Canada (PWGSC).

II. The Contractor personnel requiring access to PROTECTED information, assets or sensitive site(s) must EACH hold a valid RELIABILITY STATUS, granted or approved by the CSP, PWGSC.

III. The Contractor MUST NOT remove any PROTECTED information or assets from the identified site(s), and the Contractor must ensure that its personnel are made aware of and comply with this restriction.

IV. Subcontracts which contain security requirements are NOT to be awarded without the prior written permission of the CSP, PWGSC.

V. The Contractor must comply with the provisions of the:

i. Security Requirements Check List and security guide (if applicable),
ii. Contract Security Manual (Latest Edition).

CSC Approved Health Services Exemption for the Removal, Offsite Storage and Electronic Data Processing of Offender Personal Medical Information under CSC issued contracts.

1. The Contractor/Offeror must practice and take measures to protect shared personal health information in accordance with the applicable legislation which governs the disclosure of personal and health information under federal and provincial laws, applicable provincial health information acts, and the provincial/territorial regulatory body’s professional practice standards. This includes collection, receipt, transmission, storage, disposal, use and disclosure of information under its control among authorized persons of employees of the Contractor/Offeror.
2. In case of security breach or the unauthorized use of shared personal information, the Contractor/Offeror must notify the CSC Project Authority and implement all procedures and disclosure requirements as defined by their professional certifying body and those required of federal and provincial laws and regulations.

4 Paper consumption:
a. Should printed material be required, double sided printing in black and white format is the default unless otherwise specified by the Project Authority.
b. The Contractor must ensure printed material is on paper with a minimum recycled content of 30% and/or certified as originating from a sustainably managed forest.
c. The Contractor must recycle unneeded printed documents (in accordance with Security Requirements).

5 Applicability of the trade agreement(s) to the procurement
This procurement is not subject to any trade agreement.

6 Set-aside under the Procurement Strategy for Indigenous Business
This procurement is not subject to any set-asides for Indigenous Suppliers.

7 Comprehensive Land Claims Agreement(s)
This procurement is not subject to a Comprehensive Land Claims Agreement.

8 Justification for the Pre-Identified Supplier
8.1 The pre-identified supplier has been in operation since 1994 and is one of Canada’s foremost academic providers of mental health care and academic health science centres, combining the delivery of specialized mental health care, advocacy, research, and education to improve the lives of people with mental illness.
8.2 The pre-identified supplier has proven expertise in recruiting health professionals and, through its physician members, delivering psychiatric services.
The pre-identified supplier meets all of the minimum essential requirements described in this ACAN.

9 Government Contracts Regulations Exception(s)
The following exception to the Government Contracts Regulations is invoked for this procurement under subsection:
(d) only one person is capable of performing the contract.

10 Exclusions and/or Limited Tendering Reasons
This procurement is not subject to any trade agreement.

11 Ownership of Intellectual Property
There are no intellectual property terms in the contract.

12 Period of the proposed contract or delivery date
The proposed contract is for a period of 3 years, from contract award to 3 years later.

13 Cost estimate of the proposed contract
The estimated value of the contract, including option(s), is $ 5,998,000.00 (GST/HST extra).

14 Name and address of the pre-identified supplier

Name: Southeastern Ontario Academic Medical Organization (SEAMO)
Address; Macklem House
18 Barrie St.
Kingston, ON
K7L 3N6
Canada

15 Suppliers' right to submit a statement of capabilities

Suppliers who consider themselves fully qualified and available to provide the goods, services or construction services described in the ACAN, may submit a statement of capabilities in writing to the contact person identified in this notice on or before the closing date and time of this notice. The statement of capabilities must clearly demonstrate how the supplier meets the advertised requirements.

16 Closing date and time for a submission of a statement of capabilities
The closing date and time for accepting statements of capabilities is on January 08, 2024 at 2:00 PM EST.

17 Inquiries and submission of statements of capabilities
Inquiries and statement of capabilities are to be directed to:

Nadine Pike, Senior Procurement Specialist
Telephone: (506) 378-1049
E-mail: Nadine.Pike@csc-scc.gc.ca